Individual provider Active NPI

Nancy Rhea Stine

  • Pharmacist
  • Eureka, MO
National Provider Identifier
1801497342
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
043597 Issued in MO
Practice address
131 Eureka Towne Center Dr
Eureka, MO 63025-1031
Phone
(636) 938-9425
NPI assigned
Nov 2, 2020
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wal-Mart Stores East LP CurrentSince May 21, 2023 Accepting new patients

Locations

131 Eureka Towne Center Dr
Eureka, MO 63025
Phone (636) 587-9775

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 043597 MO Primary

Addresses

NPPES NPI Registry

Primary practice location

131 Eureka Towne Center Dr
Eureka, MO 63025-1031

Mailing address

1402 Homestead Valley Dr
Wildwood, MO 63005-8446
Phone (636) 357-1559

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 2, 2020.

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1801497342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 HOMESTEAD VALLEY DR",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630058446",
            "telephone_number": "636-357-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 EUREKA TOWNE CENTER DR",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630251031",
            "telephone_number": "636-938-9425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINE",
        "first_name": "NANCY",
        "middle_name": "RHEA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "043597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.